Revision Fusion, Great Toe

A patient presented to our facility with complaints of painful left great toe as well as left second and third digits. He has a previous history of fusion of the great toe. However, he has recurrent pain and pain in his digits specifically with walking. The patient undergoes revision of the first fusion and a new fusion of the third proximal interphalangeal joint. In the CPT codebook, there is a note under code 28760, Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint, directs the coder to use 28285, Correction, hammertoe, for hammertoe operation or interphalangeal fusion. Would it be correct to say that 28285 is for the treatment of all hammertoe and/or interphalangeal fusion? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article addresses a CPT coding question arising from a foot surgery case involving prior great-toe fusion, recurrent pain, and additional toe fusion work. It is aimed at coding professionals who need to understand the scope of the CPT codebook guidance referenced in the article and how the discussion relates to procedure reporting for toe arthrodesis and hammertoe-related operations.

Why This Topic Matters

Toe fusion and hammertoe procedure coding can hinge on subtle CPT instructions and codebook notes. Accurate interpretation of the article helps coders, auditors, and billing staff understand the relevant coding guidance for similar foot and toe operative scenarios.

What You Will Learn

  • How the article frames a CPT coding question involving revision fusion of the great toe
  • How the discussion relates to toe arthrodesis and hammertoe-related procedures
  • Why codebook notes can be important in foot surgery code selection
  • What type of CPT guidance the article is examining

Who Should Read This

  • CPT coders
  • Orthopedic coding staff
  • Podiatry billing professionals
  • Coding auditors
  • Revenue cycle professionals

Codes Discussed

  • CPT: 28760
  • CPT: 28285

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